Individual provider Active NPI

Sara Hathaway Fletcher, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1700116191
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202110574NP Issued in OR
Practice address
945 Columbia St NE
Salem, OR 97301-7205
Phone
(503) 707-1950
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 757351 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202110574NP OR Primary

Addresses

Primary practice location

945 Columbia St NE
Salem, OR 97301-7205

Mailing address

945 Columbia St NE
Salem, OR 97301-7205
Phone (503) 707-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18765 SW Boones Ferry Rd
Suite 100
Tualatin, OR 97062-8607

945 Columbia St NE
Salem, OR 97301-7205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
757351ORMDRegistered Nurse
202110574NPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center Balance Psychiatric/Mental Health Current Accepting new patients

Locations

5 Centerpointe Dr
Ste 400
Lake Oswego, OR 97035
Phone (503) 784-3489

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.sarafletcher@148835.advancedmd-direct.com
  • Direct secure messaging: centerbalance.sarafletcher@159035.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1700116191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 COLUMBIA ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017205",
            "telephone_number": "503-707-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 COLUMBIA ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017205",
            "telephone_number": "503-707-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "SARA",
        "middle_name": "HATHAWAY",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "757351",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202110574NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.